Care Management Policy

Uses

Risks & contraindications

Evidence quality

Highlighted claims

• Context-enhanced models can help distinguish patients whose risk is amplified by care environment from those protected by system factors. — Integrating healthcare system context to improve risk prediction and assess racial disparities among dual-eligible Medicare–Medicaid beneficiaries: a retrospective cohort study using national fee-for-service claims
• The study cautioned against directly adjusting payment for poor system context. — Integrating healthcare system context to improve risk prediction and assess racial disparities among dual-eligible Medicare–Medicaid beneficiaries: a retrospective cohort study using national fee-for-service claims
• The article proposed using context-enhanced models to target intensive care management rather than directly adjust payment. — Integrating healthcare system context to improve risk prediction and assess racial disparities among dual-eligible Medicare–Medicaid beneficiaries: a retrospective cohort study using national fee-for-service claims
• Ignoring healthcare context may unfairly penalize providers serving under-resourced populations. — Integrating healthcare system context to improve risk prediction and assess racial disparities among dual-eligible Medicare–Medicaid beneficiaries: a retrospective cohort study using national fee-for-service claims
• Future work should evaluate whether targeted strategies outperform universal high-risk interventions. — Integrating healthcare system context to improve risk prediction and assess racial disparities among dual-eligible Medicare–Medicaid beneficiaries: a retrospective cohort study using national fee-for-service claims